Provider Demographics
NPI:1184065732
Name:OAKES, LAURA FISHBURN (DMD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:FISHBURN
Last Name:OAKES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 SHOPS WAY
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9436
Mailing Address - Country:US
Mailing Address - Phone:207-282-1229
Mailing Address - Fax:
Practice Address - Street 1:125 SHOPS WAY
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9436
Practice Address - Country:US
Practice Address - Phone:207-282-1229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN4329122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist